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Dysphagia in stroke: a prospective study of quantitative aspects of swallowing in dysphagic patients

Nilsson, Håkan; Ekberg, Olle LU ; Olsson, Rolf LU and Hindfelt, Bengt (1998) In Dysphagia 13(1). p.32-38
Abstract
This is a prospective study of 100 consecutive stroke patients. Within 24 h after stroke onset they were asked specifically about swallowing complaints and subjected to a clinical examination including neurologic examination, Mini-Mental test, and Barthel score. Dysphagic patients were examined with the repetitive oral suction swallow test (the ROSS test) for quantitative evaluation of oral and pharyngeal function at 24 h, after 1 week, and after 1 month. At 6 months, the patients were interviewed about persistent dysphagia. Seventy-two patients could respond reliably at 24 h after the stroke onset and 14 of these complained of dysphagia. Non-evaluable patients were either unconscious, aphasic, or demented. The presence of dysphagia was... (More)
This is a prospective study of 100 consecutive stroke patients. Within 24 h after stroke onset they were asked specifically about swallowing complaints and subjected to a clinical examination including neurologic examination, Mini-Mental test, and Barthel score. Dysphagic patients were examined with the repetitive oral suction swallow test (the ROSS test) for quantitative evaluation of oral and pharyngeal function at 24 h, after 1 week, and after 1 month. At 6 months, the patients were interviewed about persistent dysphagia. Seventy-two patients could respond reliably at 24 h after the stroke onset and 14 of these complained of dysphagia. Non-evaluable patients were either unconscious, aphasic, or demented. The presence of dysphagia was not influenced by age or other risk factors for stroke. Facial paresis, but no other clinical findings, were associated with dysphagia. Dysphagia 24 h after stroke increased the risk of pneumonia but did not influence the length of hospital stay, the manner of discharge from hospital, or the mortality. The initial ROSS test, during which the seated patient ingests water through a straw, was abnormal in all dysphagic stroke patients. One-third of the patients were unable to perform the test completely. Above all, dysfunction was disclosed during forced, repetitive swallow. All phases of the ingestion cycle were prolonged whereas the suction pressures, bolus volumes, and swallowing capacities were low. Abnormalities of quantitative swallowing variables decreased with time whereas the prevalences of swallowing incoordination and abnormal feeding-respiratory pattern became more frequent. After 6 months, 7 patients had persistent dysphagia. Five of these were initially non-evaluable because of unconsciousness, aphasia, or dementia. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Deglutition disorders, Dysphagia, Stroke, Prospective study, Quantitative test, Deglutition
in
Dysphagia
volume
13
issue
1
pages
32 - 38
publisher
Springer
external identifiers
  • pmid:9391228
  • scopus:0031975551
ISSN
1432-0460
DOI
10.1007/PL00009547
language
English
LU publication?
yes
id
a91e9180-dbf8-4aa6-865d-501060075518 (old id 1113167)
date added to LUP
2008-07-14 13:32:21
date last changed
2017-09-17 04:58:32
@article{a91e9180-dbf8-4aa6-865d-501060075518,
  abstract     = {This is a prospective study of 100 consecutive stroke patients. Within 24 h after stroke onset they were asked specifically about swallowing complaints and subjected to a clinical examination including neurologic examination, Mini-Mental test, and Barthel score. Dysphagic patients were examined with the repetitive oral suction swallow test (the ROSS test) for quantitative evaluation of oral and pharyngeal function at 24 h, after 1 week, and after 1 month. At 6 months, the patients were interviewed about persistent dysphagia. Seventy-two patients could respond reliably at 24 h after the stroke onset and 14 of these complained of dysphagia. Non-evaluable patients were either unconscious, aphasic, or demented. The presence of dysphagia was not influenced by age or other risk factors for stroke. Facial paresis, but no other clinical findings, were associated with dysphagia. Dysphagia 24 h after stroke increased the risk of pneumonia but did not influence the length of hospital stay, the manner of discharge from hospital, or the mortality. The initial ROSS test, during which the seated patient ingests water through a straw, was abnormal in all dysphagic stroke patients. One-third of the patients were unable to perform the test completely. Above all, dysfunction was disclosed during forced, repetitive swallow. All phases of the ingestion cycle were prolonged whereas the suction pressures, bolus volumes, and swallowing capacities were low. Abnormalities of quantitative swallowing variables decreased with time whereas the prevalences of swallowing incoordination and abnormal feeding-respiratory pattern became more frequent. After 6 months, 7 patients had persistent dysphagia. Five of these were initially non-evaluable because of unconsciousness, aphasia, or dementia.},
  author       = {Nilsson, Håkan and Ekberg, Olle and Olsson, Rolf and Hindfelt, Bengt},
  issn         = {1432-0460},
  keyword      = {Deglutition disorders,Dysphagia,Stroke,Prospective study,Quantitative test,Deglutition},
  language     = {eng},
  number       = {1},
  pages        = {32--38},
  publisher    = {Springer},
  series       = {Dysphagia},
  title        = {Dysphagia in stroke: a prospective study of quantitative aspects of swallowing in dysphagic patients},
  url          = {http://dx.doi.org/10.1007/PL00009547},
  volume       = {13},
  year         = {1998},
}